Organization Active NPI

Capitol Gastro, PA

  • Gastroenterology Physician
  • Austin, TX
National Provider Identifier
1588198808
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CAPITOL GASTRO, PA
Practice address
12701 RR 620 N Ste 101
Austin, TX 78750-1141
Phone
(512) 593-6022
Fax
(512) 599-9130
NPI assigned
Apr 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Masi Khaja, MDNPI 1982642526
Title
Owner
Phone
(830) 637-7761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

12701 RR 620 N Ste 101
Austin, TX 78750-1141

Mailing address

12701 RR 620 N Ste 101
Austin, TX 78750-1141
Phone (512) 593-6022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170508002265 TX Part B Supplier - Clinic/Group Practice 9234416884 Receives reassigned benefits from 8 practitioners
Practice locations: Austin, TX; Kyle, TX; Georgetown, TX; Dripping Springs, TX; Cedar Park, TX; Bee Cave, TX

National Provider Directory

National Provider Directory

Locations

12701 Ranch Road 620 N
Ste 101
Austin, TX 78750

12701 620 N
#101
Austin, TX 78750

15801 W State Highway 71
Ste 100
Bee Cave, TX 78738
Phone (512) 676-2500

500 W Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 250-3900

2995 Dawn Dr
Ste 103
Georgetown, TX 78628

4100 Everett
Ste 400
Kyle, TX 78640
Phone (512) 295-1333

200 Medical Pkwy
Ste 360
Lakeway, TX 78738
Phone (512) 459-1131

1712B Highway 1431
Marble Falls, TX 78654
Phone (830) 637-7761

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1588198808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 RR 620 N STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501141",
            "telephone_number": "512-593-6022",
            "fax_number": "512-599-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 RR 620 N STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501141",
            "telephone_number": "512-593-6022",
            "fax_number": "512-599-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL GASTRO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "KHAJA",
        "authorized_official_first_name": "MASI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-637-7761",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.